Active NPI
Pansy J Cooper, APRN
- Family Nurse Practitioner
- Conway, SC
National Provider Identifier
1215046339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2336
- Practice address
- 241 Singleton Ridge Road, Suite B
Main Street Physicians
Conway, SC 29526 - Phone
- (800) 491-0909
- Fax
- (843) 347-7232
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APN2336 | SC | |
| Family Nurse Practitioner | 363LF0000X | APN2336 | SC | |
| Family Nurse Practitioner | 363LF0000X | 2336 | SC | Primary |
Addresses
Primary practice location
241 Singleton Ridge Road, Suite B
Main Street Physicians
Conway, SC 29526
Mailing address
111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0452 | Medicaid | SC | |
| P00155306 | Other | SC | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Carolina School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909
Hospital & facility affiliations
- Amedisys Home Health of Conway
- Centerwell Home Health
- Well Care Home Health of the Lowcountry Inc
- Conway Medical Center
- Grand Strand Regional Medical Center
- McLeod Loris Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN2336 | SC | MD | Acute Care Nurse Practitioner |
| 2336 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC House Calls Inc | Current | Accepting new patients | |
| Your Health Primary Care of SC, LLC | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Rivertown Primary Medical | Past | Accepting new patients |
Locations
1624 Main St
Columbia, SC 29201
Phone (803) 454-0365
111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910
241 Singleton Ridge Rd
Unit B
Conway, SC 29526
Phone (843) 347-5661
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Interoperability endpoints
- pansy.cooper.1@7602.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
- Family Medicine Physician
- West Columbia, SC
- NPI 1710875141
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
-
- Family Medicine Physician
- Conway, SC
- NPI 1770692808
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Conway, SC
- NPI 1316905573
-
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
-
- Rehabilitation Hospital Unit
- Conway, SC
- NPI 1154991487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1215046339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DOCTOR CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036502",
"telephone_number": "800-491-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 SINGLETON RIDGE ROAD, SUITE B",
"address_2": "MAIN STREET PHYSICIANS",
"city": "CONWAY",
"state": "SC",
"postal_code": "29526",
"telephone_number": "800-491-0909",
"fax_number": "843-347-7232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "PANSY",
"middle_name": "J",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "SC",
"license": "APN2336",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN2336",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "2336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP0452",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00155306",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.